Organization
PARK RIDGE ANESTHESIOLOGY SERVICES, PA
Active
Other names
ParkRidge Anesthesiology Services, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY COSTON DO (HEAD OF GROUP)
(828) 329-5550
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, ANESTHESIA DEPT, HENDERSONVILLE, NC 28792-5272
(828) 329-5550
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
10/06/2010
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